Organization
EYELINE OPTICAL OF VICKSBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE DALE MONSOUR (PRESIDENT)
(601) 638-7905
Entity
Organization
Contact information
Practice address
2449 N FRONTAGE RD, VICKSBURG, MS 39180-5177
(601) 638-7905
Mailing address
2449 N FRONTAGE RD, VICKSBURG, MS 39180-5177
(601) 638-7905
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00089002
—
MS
Enumeration date
05/21/2007
Last updated
10/15/2025
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